RSVP 2 — Frundt, Lundquist & Gustafson, Ltd.

New Client Form

Thank you for considering our firm. At Frundt, Lundquist & Gustafson, Ltd., we know our clients’ time is valuable. Please fill in the information below in preparation for your first appointment once instructed to do so. If you prefer to print out the form and fill it out manually prior to your first appointment, our printer-friendly new client form is available by clicking here.

Type of Matter

PARTY 1 - Please fill out your information below.

Name (include middile initial)

First Name

Last Name

Date of Birth

YYYY

Social Security Number (###-##-####)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

####

Home Phone (if available)

(###)

###

####

Fax (if available)

(###)

###

####

Permission to receive documents and communications at the above email. If yes, type initials below.

Yes

Initials granting permission to the above.

Employer (If applicable, state self or unemployed)

Employer's Phone

(###)

###

####

Employer's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PARTY 2 - Please fill in the information below if a second individual or entity will be party to your case. Otherwise, please proceed to the survey one section down and then click on the send button to complete your intake form.

Name (include middile initial if applicable)

First Name

Last Name

Date of Birth

YYYY

Social Security Number (###-##-####)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

####

Home Phone (if available)

(###)

###

####

Fax (if available)

(###)

###

####

Permission to receive documents and communications at the above email. If yes, type initials below.

Yes

Initials granting permission to the above.

Employer (If applicable, state self or unemployed)

Employer's Phone

(###)

###

####

Employer's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

NEW CLIENT SURVEY

Were you referred to our office?

Yes

If you answered "yes" to the above, please provide the full name of the person who referred you.

If you answered "no" to the above, please select how you came to know of our firm.

Once you have answered all the relevant areas, please click the send button below. If you do not already have an appointment set up with us, our office usually responds within one business day.